术前MRI评估脊椎内镜治疗腰椎间盘突出症复发的临床研究

注册号:

Registration number:

ChiCTR2500110838 

最近更新日期:

Date of Last Refreshed on:

2025-10-21 16:30:39 

注册时间:

Date of Registration:

2025-10-21 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

术前MRI评估脊椎内镜治疗腰椎间盘突出症复发的临床研究

Public title:

Preoperative MRI evaluation of spinal endoscopy in the treatment of recurrent lumbar disc herniation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于术前MRI评估脊椎内镜治疗腰椎间盘突出症复发的临床价值研究

Scientific title:

Evaluation of the clinical value of spinal endoscopy in the treatment of recurrent lumbar disc herniation based on preoperative MRI

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

曾振华 

研究负责人:

曾振华 

Applicant:

Zhenhua Zeng 

Study leader:

Zhenhua Zeng 

申请注册联系人电话:

Applicant telephone:

+86 139 6730 0927

研究负责人电话:

Study leader's
telephone:

+86 139 6730 0927

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zengzh_689108@163.com

研究负责人电子邮件:

Study leader's E-mail:

zengzh_689108@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

浙江省嘉兴市嘉善县罗星街道体育南路1218号

研究负责人通讯地址:

浙江省嘉兴市嘉善县罗星街道体育南路1218号

Applicant address:

No. 1218, Tiyu South Road, Luoxing Street, Jiashan County, Jiaxing City, Zhejiang Province

Study leader's address:

No. 1218, Tiyu South Road, Luoxing Street, Jiashan County, Jiaxing City, Zhejiang Province

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

嘉善县第一人民医院

Applicant's institution:

The First People's Hospital of Jiashan County

研究负责人所在单位:

嘉善县第一人民医院

Affiliation of the Leader:

The First People's Hospital of Jiashan County

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

KY2021-014

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

嘉善县第一人民医院伦理委员会

Name of the ethic committee:

Ethics Committee of the First People's Hospital of Jiashan County

伦理委员会批准日期:

Date of approved by ethic committee:

2021-12-14 00:00:00

伦理委员会联系人:

金静燕

Contact Name of the ethic committee:

Jingyan Jin

伦理委员会联系地址:

浙江省嘉兴市嘉善县罗星街道体育南路1218号

Contact Address of the ethic committee:

No. 1218, Tiyu South Road, Luoxing Street, Jiashan County, Jiaxing City, Zhejiang Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 573 8428 9731

伦理委员会联系人邮箱:

Contact email of the ethic committee:

syllwyh2023@163.com

研究实施负责(组长)单位:

浙江省嘉善县第一人民医院

Primary sponsor:

The First People's Hospital of Jiashan County

研究实施负责(组长)单位地址:

浙江省嘉兴市嘉善县罗星街道体育南路1218号

Primary sponsor's address:

No. 1218, Tiyu South Road, Luoxing Street, Jiashan County, Jiaxing City, Zhejiang Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江

市(区县):

嘉兴

Country:

China

Province:

Zhejiang

City:

Jiaxing

单位(医院):

浙江省嘉善县第一人民医院

具体地址:

浙江省嘉兴市嘉善县罗星街道体育南路1218号

Institution
hospital:

The First People's Hospital of Jiashan County

Address:

No. 1218, Tiyu South Road, Luoxing Street, Jiashan County, Jiaxing City, Zhejiang Province

经费或物资来源:

单位财政拨款

Source(s) of funding:

Unit financial appropriation

研究疾病:

腰椎间盘突出症  

Target disease:

Lumbar disc herniation

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

连续入组 

Study design:

Sequential 

研究目的:

我们拟通过观察术前核磁共振椎间盘检查、术中椎间盘形态及术后病理技术,探讨术前核磁共振中椎间盘信号与含水量的相关性,并基于此讨论核磁共振中椎间盘信号决定手术方式在再突出中的作用。本研究为临床中脊柱内镜治疗椎间盘突出提供重要的指导价值。  

Objectives of Study:

We plan to observe the preoperative MRI examination of the intervertebral disc, the morphology of the intervertebral disc during surgery, and postoperative pathological techniques to explore the correlation between the intervertebral disc signal and water content in preoperative MRI and discuss the role of the intervertebral disc signal in MRI in determining the surgical method in re-protrusion. This study provides important guidance value for the clinical treatment of intervertebral disc protrusion with spinal endoscopy.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

①伴有腰椎中央型椎管狭窄、椎间盘间隙过窄;②曾行化学性溶解者;③存在脊柱节段失稳或伴有严重腰椎管狭窄;④两个及两个节段以上的椎间盘突出症、脊柱畸形、脊柱结核、脊柱肿瘤、椎体骨折等合并症;⑤影像学检查无明显神经受压患者;⑥严重的心脑血管、肝肾疾病、血液系统及呼吸系统疾病的患者;⑦合并有意识障碍、精神疾病和有沟通障碍的患者;⑧患者本人或家属拒绝参与本研究的患者。

Exclusion criteria:

1. With lumbar central spinal stenosis, intervertebral disc space is too narrow; 2. had undergone chemical dissolution; 3.There is spinal segment instability or severe lumbar spinal stenosis; 4.Two or more segments of intervertebral disc herniation, spinal deformity, spinal tuberculosis, spinal tumors, vertebral fractures and other complications; 5.Imaging examination showed no obvious nerve compression patients; 6. Patients with serious cardiovascular and cerebrovascular diseases, liver and kidney diseases, blood system and respiratory system diseases; 7.Patients with consciousness disorder, mental illness and communication disorder; 8. Patients who themselves or their family members refused to participate in this study.

研究实施时间:

Study execute time:

From 2022-01-01 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-01-03 00:00:00 To 2023-06-27 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

200

Group:

Observation group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江 

市(区县):

嘉兴 

Country:

China

Province:

Zhejiang

City:

Jiaxing

单位(医院):

浙江省嘉善县第一人民医院 

单位级别:

三级 

Institution
hospital:

First People's Hospital of Jiashan County, Zhejiang Province

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

下腰痛程度

指标类型:

主要指标

Outcome:

Low back pain

Type:

Primary indicator

测量时间点:

入院时、出院时、出院3个月、6个月以及1年后

测量方法:

下腰痛评定表( JOA)

Measure time point of outcome:

At admission, at discharge, at 3 months, 6 months, and 1 year later

Measure method:

Low Back Pain Assessment Form (JOA)

指标中文名:

失能情况

指标类型:

主要指标

Outcome:

Disability condition

Type:

Primary indicator

测量时间点:

入院时、出院时、出院3个月、6个月以及1年后

测量方法:

Oswestry失能问卷( SCODI)

Measure time point of outcome:

At admission, at discharge, at 3 months, 6 months, and 1 year later

Measure method:

Oswestry Disability Questionnaire (SCODI)

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

None

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

论文发表后一年内,国家生物信息中心 https://ngdc.cncb.ac.cn/gsa

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Within one year of publication, China Nation center for Bioinformation https://ngdc.cncb.ac.cn/gsa.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

所有患者均参考统一的指南及标准进行治疗,由同一团队完成相关临床治疗操作,各项结局指标的评价由同一批人完成,评价时评价者不知晓基线分组情况。加强对评价人员的培训,确保其能够熟练、正确地观察、计算和统计各项指标和结果;录入数据时,由研究者本人连同另一位医务人员共同负责,采取双人录入模式,并做好核对、检查。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

All patients were treated according to unified guidelines and standards, and the relevant clinical treatment operations were completed by the same team. The evaluation of various outcome indicators was completed by the same group of people, and the evaluators were unaware of the baseline group at the time of evaluation. (b) Strengthen the training of evaluators to ensure that they are skilled and correct in observing, calculating and counting indicators and results; When the data is entered, the researcher and another medical staff are jointly responsible for the two-person entry mode, and the verification and inspection are done.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-10-21 16:30:24